US8798766B2 - Neurostimulation catheter - Google Patents
Neurostimulation catheter Download PDFInfo
- Publication number
- US8798766B2 US8798766B2 US12/161,979 US16197907A US8798766B2 US 8798766 B2 US8798766 B2 US 8798766B2 US 16197907 A US16197907 A US 16197907A US 8798766 B2 US8798766 B2 US 8798766B2
- Authority
- US
- United States
- Prior art keywords
- catheter
- flexible tube
- electric conductor
- electric
- proximal
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active, expires
Links
- 0 C1*CC#CC1 Chemical compound C1*CC#CC1 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
-
- H—ELECTRICITY
- H01—ELECTRIC ELEMENTS
- H01R—ELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS
- H01R13/00—Details of coupling devices of the kinds covered by groups H01R12/70 or H01R24/00 - H01R33/00
- H01R13/02—Contact members
- H01R13/025—Contact members formed by the conductors of a cable end
-
- H—ELECTRICITY
- H01—ELECTRIC ELEMENTS
- H01R—ELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS
- H01R2201/00—Connectors or connections adapted for particular applications
- H01R2201/12—Connectors or connections adapted for particular applications for medicine and surgery
Definitions
- the invention relates to a neurostimulation catheter formed by a flexible tube in a non-electrically conducting material, the distal end of which is rounded and which comprises an electric conductor which extends into the length of the tube for conducting an electric stimulation current from one end to the other end of the tube.
- the practitioner may make sure that the catheter has reached the desired objective by the reaction of the plexus block to an electrical excitation from the distal end of the catheter.
- the conductor may be formed by a metal mandrel introduced into the lumen of the tube and which has to be removed after placing the tube in order to clear the lumen before putting the catheter into service, as described for example in publications GB 88 03 153, DE 1 807 487 and CA 2 260 080.
- the conductor may also be permanently incorporated to the tube in order to allow stimulation at any moment, as described for example in publications DE 101 00976, U.S. Pat. No. 5,081,990.
- the invention is aimed at avoiding these drawbacks.
- the conductor with at least one layer of an electrically conducting material applied on the outer face of the sidewall of the tube and insulated by a non-conducting cladding applied on the layer, said conducting layer forming at the distal end of the tube a distal ring which fits the rounded shape of the distal end of the tube and which is not covered by the insulating cladding of the layer so as to form a neurostimulation contact, and said conducting layer forming at the proximal end of the tube, a proximal ring which is not covered by the insulating cladding in order to achieve electrical connection.
- an ink used for the silver drawing of electric tracks with a pen and a resistant acrylic cladding also applied with the pen are used; alternatively, an epoxy adhesive containing silver particles or a conducting ink without any binder which upon drying only leaves the metal, may be used.
- an epoxy adhesive containing silver particles or a conducting ink without any binder which upon drying only leaves the metal may be used.
- Application is performed with the pen, or preferably by screen printing or pad printing.
- the catheter of the invention further has one or more of the following characteristics:
- the conductive layer forms a line with calibrated width and thickness
- a split conducting tube is slipped onto the proximal end of the catheter in order to provide an electrical connection with the proximal ring;
- the wall of the conducting tube is cut out longitudinally in order to form at least one elastic tab intended for providing electric contact between the tube and an electric wire held in contact with the tab;
- the catheter is provided with a proximal base
- a connector is added onto the proximal end of the tube in order to hold the conducting wire
- said layer is formed by ink containing silver
- said layer is formed by a mixture of solvent and silver powder
- said layer was applied by screen printing, by pad printing or by an ink jet.
- FIG. 1 is a block diagram of the catheter
- FIG. 2 is a perspective view of the proximal end of the catheter according to an embodiment
- FIG. 3 is a longitudinal sectional view of an embodiment of a base for the catheter
- FIG. 4 is a perspective view of the tubular body of the base
- FIG. 5 is a detailed view of the conductive tube to be added onto the proximal end of the tubular portion of the catheter according to an embodiment of the invention
- FIG. 6 is an exploded view
- FIG. 7 is a perspective view of the catheter with its base, ready to be used
- FIG. 8 is an axial sectional view of an alternative embodiment of the base of the catheter tube, before placing the catheter in the base and making electrical connection;
- FIG. 9 is a perspective view of the base of FIG. 8 ;
- FIG. 10 shows the same section as that of FIG. 8 after placing the catheter in the base, tightening the nut and making electrical connection;
- FIG. 11 is a perspective view of the base of FIG. 10 .
- FIG. 12 is a cross-section view of the base according to the alternative embodiment, at the electric connection.
- the catheter illustrated in the figures is formed by a flexible tube ( 1 ) in a non-electrically conducting material on the outer face of which was applied along a line ( 2 ) a layer (A) of an electrically conducting material which extends from the proximal end ( 1 a ) to the distal end ( 1 b ) of the tube ( 1 ) and which is locally clad with a layer of insulating material (B).
- the conductive layer forms two rings ( 3 , 4 ) of a few millimeters in length and the insulating cladding (B) has been interrupted before these rings.
- One of the rings will be used as an electric power supply for the conductive cladding and the other ring will be used for transmitting the electric excitation to the nerves (plexus block) at the location where it is intended to stimulate or localize the nerves.
- both conductive rings are connected through an insulated conductor.
- the distal conductive ring as an electric contact, is a good solution for neurostimulation because it is not very bulky (thickness of 15-20 ⁇ m), and does not therefore generate any large overthickness which may interfere with the passage of the catheter into a needle; it allows the use of a catheter with an unblocked and unshrinked distal hole, which is better for the flow rate. This also avoids having to push strongly on the injection syringe.
- the ring may fit the rounded (atraumatic) shape.
- the invention also relates to embodiments of a base to be mounted on the proximal end of a neurostimulation catheter, in particular of a catheter according to the invention, equipped with means for holding the catheter in the base and with means for providing an electric connection between an electric power supply conductor and the conductive cladding of the catheter, and capable of connecting the catheter to a device for supplying a solution, for example an injection syringe.
- the base comprises a tubular body ( 10 ), onto an end ( 10 a ) of which a nut ( 11 ) may be screwed so as to provide compression of an elastomeric sleeve ( 12 ), housed in the nut (embodiment of FIGS. 1-7 ) or in the tubular body (embodiment of FIGS. 8-12 ) and crossed by the catheter tube when the latter is introduced into the base; the other end ( 10 b ) of the tubular body includes a conical inlet (Luer conicity) passage for connecting the end piece of a solution-supplying device.
- a conical inlet Luvity
- the nut and the sleeve cooperate in order to provide holding of the catheter in the base by lateral compression of the catheter.
- the base has a side hole ( 13 ) which is formed in the tubular body (embodiment of FIGS. 1-7 ) or in the nut (embodiment of FIGS. 8-12 ), for letting through a wire ( 14 ) or a plug ( 15 ) of an electric conductor ( 9 ) right up to the contact with the catheter tube.
- a split and elastic metal tube ( 5 ) with one (or more) spring tabs ( 6 ) cut out in the tube and S-shaped, so as to be jutting out inside and outside the tube, is slipped onto the proximal end of the catheter tube. In this way, this tube may be facing the side hole ( 13 ) of the base.
- the catheter tube is pushed into the base until it abuts in the base.
- the tab(s) of the metal tube is/are supported on the proximal ring of the conducting layer in order to provide the electric contact.
- the catheter tube is blocked in the base by the compression sleeve ( 7 ) tightened by the nut.
- the exposed electric wire ( 9 ) covered with a metal ring ( 11 ) is pushed into the side hole ( 13 ) and blocked. It compresses the tab on the outside and provides the passage of the current of the wire towards the proximal ring.
- the ring may be forcibly pushed, or force-fitted and held by a screw-nut type system, the side hole of the base is then threaded on the outside and the ring is equipped with a screwable nut.
- the wire may be dismantled.
- electric transmission between the catheter and the electric power supply wire is obtained by a direct side contact between the conductive cladding of the catheter and the wire.
- the proximal end of the catheter tube which includes the outer conducting layer (A) but which is without the insulating layer, is freely and directly slipped into the base ( 10 ), right up to an abutment ( 19 ) and is blocked in position by a compressing sleeve ( 12 ) which is compressed by screwing a nut ( 8 ) onto the base, as previously.
- the base includes a chamber ( 15 ) for receiving the sleeve terminated at its proximal end by a conical wall ( 16 ).
- An anti-friction ring ( 17 ) may be placed into the base if there is too much friction between the nut and the sleeve during the compression screwing, so as to prevent the sleeve from twisting.
- the base, the sleeve and the nut are pre-assembled (without any tightening) before introducing the catheter into the base.
- the base is transparent, the abutment of the catheter may be observed in the base.
- the whole length of catheter introduced into the base is conductive. Beyond the base, the catheter is covered with electrically insulating cladding (B).
- the nut is screwed in, in order to compress the sleeve and to block the catheter.
- the seal is obtained in the proximal portion of the base.
- the liquid pushed into the female Luer of the base comes right up into the catheter. If liquid is introduced between the catheter and the sidewall of the lumen ( 20 ), it is collected in a very small chamber ( 18 ), the seal of which is provided by the sleeve ( 12 ) compressed between the cone ( 16 ) of the chamber ( 15 ) and against the catheter.
- the conductive plug ( 19 ) of the electric line is introduced, which will bring the electric current into a side hole ( 13 ) of the nut.
- the plug will come into contact with the outer conductive surface of the catheter. Clipping of the base ( 21 ) of this plug into the hole of the nut is possible.
- a silver-based conducting ink is preferably used.
- Silver is an ideal material for its conductivity (its resistivity is very low) and its flexibility (it follows without difficulty the curvatures of the tube).
- a resistance of about 8 ohms is obtained. Now considering the passage of a few mA in neurostimulation, it is better to have a resistance as low as possible.
- This ink may be a mixture of solvent and very fine silver powder for very good electric conductivity.
- the application may be achieved by screen printing, pad printing, or even with an ink jet. These application methods are non-limiting.
Landscapes
- Health & Medical Sciences (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Materials For Medical Uses (AREA)
- Electrotherapy Devices (AREA)
- Magnetic Treatment Devices (AREA)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR0600948A FR2896698B1 (fr) | 2006-02-02 | 2006-02-02 | Catheter de neurostimulation et son embase |
FR0600948 | 2006-02-02 | ||
PCT/FR2007/000064 WO2007088256A1 (fr) | 2006-02-02 | 2007-01-15 | Catheter de neurostimulation |
Publications (2)
Publication Number | Publication Date |
---|---|
US20090012578A1 US20090012578A1 (en) | 2009-01-08 |
US8798766B2 true US8798766B2 (en) | 2014-08-05 |
Family
ID=37022960
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/161,979 Active 2030-07-18 US8798766B2 (en) | 2006-02-02 | 2007-01-15 | Neurostimulation catheter |
Country Status (11)
Country | Link |
---|---|
US (1) | US8798766B2 (fr) |
EP (1) | EP1984071B1 (fr) |
JP (1) | JP5146324B2 (fr) |
AT (1) | ATE451139T1 (fr) |
DE (1) | DE602007003689D1 (fr) |
DK (1) | DK1984071T3 (fr) |
ES (1) | ES2333484T3 (fr) |
FR (1) | FR2896698B1 (fr) |
PL (1) | PL1984071T3 (fr) |
PT (1) | PT1984071E (fr) |
WO (1) | WO2007088256A1 (fr) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10835706B2 (en) | 2016-03-23 | 2020-11-17 | Bartolomé Lajarín Barquero | Needle device for a nerve block |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2995215B1 (fr) | 2012-09-11 | 2015-07-24 | Vygon | Systeme de blocage amovible d'un catheter |
CN105007957B (zh) | 2012-10-31 | 2017-12-01 | 恩克普森有限公司 | 具有增强的回波产生性的涂层的医疗装置 |
US9148676B2 (en) * | 2012-12-04 | 2015-09-29 | Sony Corporation | Broadcast transition channel |
US9867963B2 (en) * | 2014-06-17 | 2018-01-16 | Avent, Inc. | Needle hub for over-the-needle catheter |
CN113143355A (zh) * | 2015-09-04 | 2021-07-23 | 美多斯国际有限公司 | 多护罩脊柱进入系统 |
DE102016110379A1 (de) * | 2016-06-06 | 2017-12-07 | Pajunk GmbH Medizintechnologie | Unipolar-Kanüle |
Citations (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5275597A (en) * | 1992-05-18 | 1994-01-04 | Baxter International Inc. | Percutaneous transluminal catheter and transmitter therefor |
US5372603A (en) | 1989-05-25 | 1994-12-13 | Engineering And Research Associates, Inc. | Hollow core coaxial catheter |
US5599295A (en) | 1992-08-12 | 1997-02-04 | Vidamed, Inc. | Medical probe apparatus with enhanced RF, resistance heating, and microwave ablation capabilities |
US5681514A (en) * | 1995-06-07 | 1997-10-28 | Sulzer Intermedics Inc. | Method for making an implantable conductive lead for use with a cardiac stimulator |
US6134476A (en) | 1996-04-17 | 2000-10-17 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Transcatheter antenna for microwave treatment |
US6208881B1 (en) * | 1998-10-20 | 2001-03-27 | Micropure Medical, Inc. | Catheter with thin film electrodes and method for making same |
US6654641B1 (en) * | 1998-10-27 | 2003-11-25 | St. Jude Medical Ab | Heart stimulator housing having a tubular connector |
US20040039434A1 (en) | 1999-09-16 | 2004-02-26 | Schrom Mark G. | Neurostimulating lead |
US20040097965A1 (en) * | 2002-11-19 | 2004-05-20 | Gardeski Kenneth C. | Multilumen body for an implantable medical device |
US6741892B1 (en) * | 2000-03-10 | 2004-05-25 | Advanced Bionics Corporation | Movable contact locking mechanism for spinal cord stimulator lead connector |
US20050015130A1 (en) * | 2001-02-28 | 2005-01-20 | Gill Steven Streatfield | Brain electrode |
US20050150762A1 (en) | 2004-01-09 | 2005-07-14 | Butters Colin W. | Biosensor and method of manufacture |
US20050234522A1 (en) * | 2000-12-15 | 2005-10-20 | Cardiac Pacemakers, Inc. | Terminal connector assembly for a medical device and method therefor |
EP1605729A2 (fr) | 2004-04-15 | 2005-12-14 | Pilkington Plc | Vitrage chauffée électriquement. |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
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DE1807487A1 (de) | 1968-11-07 | 1970-06-11 | Solinger Tuerschliesser Fabrik | Hydraulischer Tuerschliesser |
DE8803153U1 (de) | 1988-03-09 | 1988-06-23 | B. Braun Melsungen Ag, 3508 Melsungen | Kathetervorrichtung für die Plexusanästhesie |
US5081990A (en) | 1990-05-11 | 1992-01-21 | New York University | Catheter for spinal epidural injection of drugs and measurement of evoked potentials |
CA2260080A1 (fr) | 1998-07-24 | 1999-02-04 | Ban C.H. Tsui | Dispositifs, systemes et techniques permettant de determiner l'emplacement ideal des catheters epiduraux |
JP3369157B2 (ja) * | 2000-11-01 | 2003-01-20 | マイクロネット メディカル インコーポレイテッド | 医療用リードの製造方法 |
US6916306B1 (en) * | 2000-11-10 | 2005-07-12 | Boston Scientific Scimed, Inc. | Steerable loop structures for supporting diagnostic and therapeutic elements in contact with body tissue |
JP2002191571A (ja) * | 2000-12-26 | 2002-07-09 | Hisayuki Mukai | 電極カテーテル |
DE10100976C2 (de) | 2001-01-11 | 2003-10-02 | Horst Pajunk | Katheter für die Nervenblockade |
JP4227366B2 (ja) * | 2002-06-21 | 2009-02-18 | イーメックス株式会社 | 電気導通ライン |
US20070088208A1 (en) * | 2003-02-17 | 2007-04-19 | Mikito Yasuzawa | Linear device |
US20050131513A1 (en) | 2003-12-16 | 2005-06-16 | Cook Incorporated | Stent catheter with a permanently affixed conductor |
-
2006
- 2006-02-02 FR FR0600948A patent/FR2896698B1/fr not_active Expired - Fee Related
-
2007
- 2007-01-15 ES ES07730823T patent/ES2333484T3/es active Active
- 2007-01-15 US US12/161,979 patent/US8798766B2/en active Active
- 2007-01-15 WO PCT/FR2007/000064 patent/WO2007088256A1/fr active Application Filing
- 2007-01-15 AT AT07730823T patent/ATE451139T1/de active
- 2007-01-15 DE DE602007003689T patent/DE602007003689D1/de active Active
- 2007-01-15 JP JP2008552840A patent/JP5146324B2/ja active Active
- 2007-01-15 PT PT07730823T patent/PT1984071E/pt unknown
- 2007-01-15 PL PL07730823T patent/PL1984071T3/pl unknown
- 2007-01-15 EP EP07730823A patent/EP1984071B1/fr active Active
- 2007-01-15 DK DK07730823.7T patent/DK1984071T3/da active
Patent Citations (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5372603A (en) | 1989-05-25 | 1994-12-13 | Engineering And Research Associates, Inc. | Hollow core coaxial catheter |
US5275597A (en) * | 1992-05-18 | 1994-01-04 | Baxter International Inc. | Percutaneous transluminal catheter and transmitter therefor |
US5599295A (en) | 1992-08-12 | 1997-02-04 | Vidamed, Inc. | Medical probe apparatus with enhanced RF, resistance heating, and microwave ablation capabilities |
US5681514A (en) * | 1995-06-07 | 1997-10-28 | Sulzer Intermedics Inc. | Method for making an implantable conductive lead for use with a cardiac stimulator |
US6134476A (en) | 1996-04-17 | 2000-10-17 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Transcatheter antenna for microwave treatment |
US6208881B1 (en) * | 1998-10-20 | 2001-03-27 | Micropure Medical, Inc. | Catheter with thin film electrodes and method for making same |
US6654641B1 (en) * | 1998-10-27 | 2003-11-25 | St. Jude Medical Ab | Heart stimulator housing having a tubular connector |
US20040039434A1 (en) | 1999-09-16 | 2004-02-26 | Schrom Mark G. | Neurostimulating lead |
US6741892B1 (en) * | 2000-03-10 | 2004-05-25 | Advanced Bionics Corporation | Movable contact locking mechanism for spinal cord stimulator lead connector |
US20050234522A1 (en) * | 2000-12-15 | 2005-10-20 | Cardiac Pacemakers, Inc. | Terminal connector assembly for a medical device and method therefor |
US20050015130A1 (en) * | 2001-02-28 | 2005-01-20 | Gill Steven Streatfield | Brain electrode |
US20040097965A1 (en) * | 2002-11-19 | 2004-05-20 | Gardeski Kenneth C. | Multilumen body for an implantable medical device |
US20050150762A1 (en) | 2004-01-09 | 2005-07-14 | Butters Colin W. | Biosensor and method of manufacture |
EP1605729A2 (fr) | 2004-04-15 | 2005-12-14 | Pilkington Plc | Vitrage chauffée électriquement. |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10835706B2 (en) | 2016-03-23 | 2020-11-17 | Bartolomé Lajarín Barquero | Needle device for a nerve block |
Also Published As
Publication number | Publication date |
---|---|
JP5146324B2 (ja) | 2013-02-20 |
PL1984071T3 (pl) | 2010-05-31 |
US20090012578A1 (en) | 2009-01-08 |
JP2009525099A (ja) | 2009-07-09 |
EP1984071B1 (fr) | 2009-12-09 |
PT1984071E (pt) | 2010-01-25 |
WO2007088256A1 (fr) | 2007-08-09 |
DK1984071T3 (da) | 2010-01-25 |
FR2896698B1 (fr) | 2008-09-19 |
DE602007003689D1 (de) | 2010-01-21 |
ES2333484T3 (es) | 2010-02-22 |
FR2896698A1 (fr) | 2007-08-03 |
EP1984071A1 (fr) | 2008-10-29 |
ATE451139T1 (de) | 2009-12-15 |
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